NURS 3309 - EXAM 1 | 237 QUESTIONS | WITH
COMPLETE SOLUTION.
subjective data Answer - things a person *tells* you about that you cannot
observe through your senses; symptoms
objective data Answer - what the health professional *observes* by
inspecting, palpating, percussing, and auscultating during the physical
examination
Health History Sequence Answer - 1. Biographic data
2. Reason for seeking care
3. Present health or history of present illness
4. Past history
5. Medication reconciliation
6. Family history
7. Review of systems
8. Functional assessment or activities of daily living (ADLs)
biographic data Answer - name, address, phone number, age, birthdate,
gender, marital status, race, ethic origin, occupation, primary language
Source of History Answer - Record who furnishes the information, judge how
reliable the informant seems and how willing, note any special circumstances
,Reason for seeking care Answer - Brief spontaneous statement in person's own
words describing reason for visit
symptom Answer - *subjective* evidence person feels of a disease, such as
pain or a headache
sign Answer - *objective* evidence of disease such as a fever, lab reports,
physical findings
History of Present Illness (HPI) Answer - *OLDCARTS*
-onset
-location
-duration
-character
-allieving/aggravating
-radiating
-time
-severity
PQRSTU Answer - -*P*rovocative or palliative
-*Q*uality or quantity
-*R*egion or radiation
-*S*everity scale: 1-10
-*T*iming
-*U*nderstanding the patient's perception of the problem.
,Past Medical History (PMH) Answer - -Childhood illnesses
-Accidents or injuries
-Serious or chronic illnesses
-Hospitalizations
-Operations
-Obstetric history
-Immunizations
-Last examination date
-Allergies
-Current medications
Family History (FH) Answer - A review of medical events in the patient's family
including diseases that may be hereditary or place the patient at risk
Genogram Answer - A family diagram that depicts each member of the family
and shows connections between the generations.
Pedigree Answer - A diagram that shows the occurrence of a genetic trait in
several generations of a family.
cross-cultural care implications Answer - Additional questions for new
immigrants
Biographical data
Spiritual resource and religion: assess if certain procedures cannot be done
Past health: what immunizations, if any
Health perception
How does person describe health and illness
, How does person see problems he or she is now experiencing
Nutrition: taboo foods or food combinations
review of systems Answer - physical examination of all body systems in a
systematic manner as part of the nursing assessment
review of systems is _______ data Answer - subjective
ADLs Answer - activity of daily living
ADL Assessment Tools Answer - Self-esteem, self-concept
Activity and exercise
Sleep and rest
Nutrition and elimination
Interpersonal relationships and resources
Spiritual resources
Coping and stress management
Personal habits
Illicit or street drugs
Environment and work hazards
Intimate partner violence
Occupational health
Perception of Health Answer - How do you define health?
How do you view your situation now?
What are your concerns/goals?
What do you think will happen in the future?
COMPLETE SOLUTION.
subjective data Answer - things a person *tells* you about that you cannot
observe through your senses; symptoms
objective data Answer - what the health professional *observes* by
inspecting, palpating, percussing, and auscultating during the physical
examination
Health History Sequence Answer - 1. Biographic data
2. Reason for seeking care
3. Present health or history of present illness
4. Past history
5. Medication reconciliation
6. Family history
7. Review of systems
8. Functional assessment or activities of daily living (ADLs)
biographic data Answer - name, address, phone number, age, birthdate,
gender, marital status, race, ethic origin, occupation, primary language
Source of History Answer - Record who furnishes the information, judge how
reliable the informant seems and how willing, note any special circumstances
,Reason for seeking care Answer - Brief spontaneous statement in person's own
words describing reason for visit
symptom Answer - *subjective* evidence person feels of a disease, such as
pain or a headache
sign Answer - *objective* evidence of disease such as a fever, lab reports,
physical findings
History of Present Illness (HPI) Answer - *OLDCARTS*
-onset
-location
-duration
-character
-allieving/aggravating
-radiating
-time
-severity
PQRSTU Answer - -*P*rovocative or palliative
-*Q*uality or quantity
-*R*egion or radiation
-*S*everity scale: 1-10
-*T*iming
-*U*nderstanding the patient's perception of the problem.
,Past Medical History (PMH) Answer - -Childhood illnesses
-Accidents or injuries
-Serious or chronic illnesses
-Hospitalizations
-Operations
-Obstetric history
-Immunizations
-Last examination date
-Allergies
-Current medications
Family History (FH) Answer - A review of medical events in the patient's family
including diseases that may be hereditary or place the patient at risk
Genogram Answer - A family diagram that depicts each member of the family
and shows connections between the generations.
Pedigree Answer - A diagram that shows the occurrence of a genetic trait in
several generations of a family.
cross-cultural care implications Answer - Additional questions for new
immigrants
Biographical data
Spiritual resource and religion: assess if certain procedures cannot be done
Past health: what immunizations, if any
Health perception
How does person describe health and illness
, How does person see problems he or she is now experiencing
Nutrition: taboo foods or food combinations
review of systems Answer - physical examination of all body systems in a
systematic manner as part of the nursing assessment
review of systems is _______ data Answer - subjective
ADLs Answer - activity of daily living
ADL Assessment Tools Answer - Self-esteem, self-concept
Activity and exercise
Sleep and rest
Nutrition and elimination
Interpersonal relationships and resources
Spiritual resources
Coping and stress management
Personal habits
Illicit or street drugs
Environment and work hazards
Intimate partner violence
Occupational health
Perception of Health Answer - How do you define health?
How do you view your situation now?
What are your concerns/goals?
What do you think will happen in the future?
